TREVOR THOMAS PETTIGREW (NPI# 1245710847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245710847 |
Entity Type | Individual |
Full Name | TREVOR THOMAS PETTIGREW |
Credential | PT, DPT |
Practice Address |
507 Ne 47th Ave Portland OR 97213-2236 |
Practice Telephone | 5032156488 |
Mailing Telephone | 5032156488 |
Enumeration Date | 2018-08-14 |
Last Update Date | 2018-08-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
61193 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
61193 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
507 NE 47TH AVE |
City | PORTLAND |
State | OR |
Zip Code | 97213-2236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992797039 | Cynthia Ann Bohan | Physician Assistant | 507 Ne 47th Ave, Suite 200, Portland, OR 97213-2236 | 2005-08-16 |
1194209759 | Elizabeth Ann Guildenbecher | Physical Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2018-09-19 |
1225511058 | Anita Michele Dunsmoor | Occupational Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2018-09-07 |
1225519002 | Lacey Krebs | Physical Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2018-08-28 |
1457832594 | Monica Lynn Bastian | Physical Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2018-08-27 |
1710467949 | Joshua Bradley Keefer | Physical Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2018-08-16 |
1164901708 | Katrina Schenck | Physical Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2018-08-13 |
1588143432 | Jessica Doskow | Physical Therapist | 507 Ne 47th Ave, Portland, OR 97213 | 2018-08-11 |
1235618240 | Ashlie Burgett | Physical Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2018-08-09 |
1386122562 | Andrew Lipiec | Occupational Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2018-07-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
Find all providers in zip 97213 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861694648 | Mary Jane C Ewing | Physical Therapist | 5149 Sw 26th Dr, Portland, OR 97239-1230 | 2007-06-04 |
1235778333 | Weston Sports Performance Rehabilitation LLC | Physical Therapist | 777 Nw 19th Ave Apt 107, Portland, OR 97209-1391 | 2020-01-06 |
1548749823 | Nathan Evans | Physical Therapist | 1305 Sw 1st Ave, Portland, OR 97201-5801 | 2018-08-08 |
1184962128 | Michele Shivack | Physical Therapist | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2013-01-25 |
1740362714 | Black Diamond Physical Therapy, Inc. | Physical Therapist | 4224 Ne Halsey St, Suite 340, Portland, OR 97213-1538 | 2006-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295213478 | Megan Elizabeth Rennie | Physical Therapist | 18650 Nw Cornell Rd Ste 314, Hillsboro, OR 97124-9212 | 2018-07-31 |
1013326537 | Good Samaritan Hospital Corvallis | Physical Therapist | 845 Sw 30th Street, Corvallis, OR 97331-8629 | 2014-08-08 |
1811252711 | Michael A Schwarz | Physical Therapist | 85011 Tum A Lum Rd, Milton Freewater, OR 97862-7411 | 2012-07-07 |
1205444072 | Heather Harrower | Physical Therapist | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2020-07-17 |
1114535986 | Zachary Lentini | Physical Therapist | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2020-07-17 |
1154802890 | Adam Paris | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224-7259 | 2018-08-21 |
1730667080 | Andre Heiber | Physical Therapist | 270 Nw Burnside Rd, Gresham, OR 97030-3836 | 2018-07-30 |
1548656143 | Nw Physical Therapy Specialists | Physical Therapist | 7616 Sw Mohawk St, Tualatin, OR 97062-8121 | 2015-04-09 |
1609274133 | Providence Health & Services- Oregon | Physical Therapist | 1627 Woods Ct, Hood River, OR 97031-2915 | 2014-12-16 |
1649610759 | Rebecca Dobler | Physical Therapist | 1960 Nw 167th Pl, Beaverton, OR 97006-4803 | 2013-07-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.